Northern Virginia Raw Powerlifting

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 2013 NORTHERN VIRGINIA RAW

 POWERLIFTING MEET

June 01, 2013 
Bull Run Regional Park Shelter #2
7700 Bull Run Dr
Centreville, VA 20121

WWW.NORTHERNVIRGINIARAWPOWER.COM
MEET DIRECTOR: JOHN JAMES 703-475-9885

PLEASE PRINT:
NAME:_________________________DOB:_________AGE:____e mail___________________

ADDRESS:_______________________City____________________state______zip_________

PHONE#______________

AWARDS WILL BE FROM SKULPTURES OF SEEKER
NO KNEE WRAPS, WRIST WRAPS, BENCH SHIRTS SQUAT SUITS ALLOWED
PLEASE CIRCLE: FULL MEET BENCH ONLY
WEIGHT CLASS
WOMEN: 66 77 88 97 105 114 123 132 148 165 181 198 198+ 
MEN: 66 77 88 97 105 114 123 132 148 165 181 198 220 242 275 SHW
DIVISIONS:
YOUTH (12-&UNDER) 13-14 15-16 17-18 19-20 21-24 25-29 30-34
OPEN POLICE MIL FIRE 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79
DEADLINE:  WHEN THE 10 LIFTER LIMIT IS REACHED!
WEIGH IN: 9:00am
LIFTING BEGINS 9:30am
Vehicle fee for entry to park $7 unless Alexandria, Arlington County City of Fairfax, Fairfax county, Falls church and Loudoun no charge
ENTRY FEE: _____ x $50=________

(half price for 12 & under lifters) 
MAIL TO: JOHN JAMES P O BOX 230522 CENTREVILLE, VA 20120

LIABILITY RELEASE FORM


In consideration of the acceptance of my entry into this power lifting contest, I, intending to be legally bound, do hereby, for myself and my heirs, executors, and administrators waive, release, accept the risk for, and forever discharge any and all rights and claims for damages which I may have, or hereafter accrue against nova raw power, John James, Bull Run Park, facility owners, and other support organization, their respective officers, agent representatives, members, employees, volunteers, and successors involved.

ATHLETES SIGNATURE______________________________DATE_____________

GUARDIAN SIGNATURE______________________________DATE____________ (if under 18)